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DONOR PREFERENCE SURVEY
1.
Please provide your contact information.
Name:
Mailing Address:
City:
State:
Zip:
Occupation:
Employer:
2.
Birth date MM/DD/YYYY:
3.
Best number to each you at:
Home
Mobile
Work
Please provide number with area code:
4.
My employer has a matching gift program.
Yes
No
5.
Are you a Thrivent Choice participant?
Yes
No
6.
Would you like to receive Samaritan's monthly eNewsletter, as well as other information and invitations via email?
Yes
No
7.
If you answered 'yes,' please provide your email address:
8.
Which events/campaigns/workshops are you interested in? (Check all that apply)
Ethics in Business Summit
Race the Lake
Silent Samaritan Campaign & Thank You Luncheon
Creating Hope Workshop
Faith Leader Mental Health Integration Project Educational Series
9.
How did you come to be a donor at Samaritan Counseling Center? (Check all that apply)
Self or family member received services
Attended event, workshop, etc.
Mental health is important to me
I was/am a volunteer or board member
Other (please specify)
10.
How often would you like to be updated on our activity?:
Monthly
Quarterly
Annually
11.
Please indicate if you agree or disagree:
Agree
Disagree
I believe my donation to Samaritan is important.
Agree
Disagree
I believe the impact of my donation is clear and measurable.
Agree
Disagree
I believe my donation to Samaritan is managed properly.
Agree
Disagree
I believe mental health should be a top priority in our community.
Agree
Disagree
12.
What are the guiding principles you use to make your philanthropic decisions?
13.
To what extent does our mission (vision, work) reflect your personal beliefs?
Very much
Somewhat
Not very much
How so?
14.
What do you expect from the charitable organizations in which you are involved?
15.
To what extent are we meeting those expectations?
Very well
Moderately well
Not very well
How could we enhance that?
16.
Of the charities to which you donate, which ones do the best job sharing the significance and impact of your gifts? How so?
17.
Check all that apply:
I prefer to remain anonymous with my donations.
I would like to invest monthly via ACH transfers. Please have someone contact me.
I would like to speak to someone about planned giving (designating a gift to Samaritan in my will).
I would like to volunteer at Samaritan. Please have someone contact me about opportunities.
I would like to invest in your Capital Campaign. Please have someone contact me about this.
18.
What advice would you like to give us?
Current Progress,
0 of 18 answered
